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HomeMy WebLinkAboutDrain Layers Permit 599 Foster Street :r'rq "rvw•ea» ..-':°AZ'{€ "'i«s-i7F•" •.r r ,i r ,r r s.. 7— :r TOWN Of SOUTH WINDSOR DEPARTMENT OF PUBLIC WORKS BUREAU OF POLLUTION CONTROL DRAIN LAYER'S PERMIT 6214 19 Pursuant to written a lication 'x pp permission is hereby,} granted to thL I Licensed ain Layer named herein to perform the work � ;caked below at at premises owned by w address: is and to Lay House Drain, Repair House Drain, ay Main, Other for - occupancy or use , with Family Units , with ' /,Q acres . Type of Sewage to be connected under this permit : SANITARY' SEWAGE { ) , INDUSTRIAL WASTES ( ) , OR Conned3ion' will be made with - Show sietch of proposed work or furnish two (2) copies of . separate drawings . OSHA RE&IREMENTS M' ST BE FOLLOWED SPECIAL CONDITIONS ". , _ Desired Starting Date Estigiated -`Time for Completion Permit to be issued to - 'co/Sc.cc: ��('n © Uf1-z _ CO the holder :of Drain Layer' s License No .,W �_. Permit will expire thirty ;, ( 30) days after, of issuance. The undersigned Drain Layer hereby agrees,: to all the terms and conditions set forth in the permit and the reverse side thereof . Applicant has received Town Permit No . and/or CHD\I.Permit No. Signe OP d License Drain Layer he above med Drain Layer-has a valid license issued by the State of ti.cut a h s filed a satisfa'c-t4ry bo d and insurance policy in the f ' , Wm of then o South Windsor : T w -01 Engineering Dept . Date Permit Fee Paid $ Check Number J -530 Connection Charge Receipt No. b2 14 Dated fr z j- fO � C f y0 9 ¢c -? Issued by s - INSPECTION, - - ,' �te wor s ar'ted _- - _�©� �=Y Date completed ��� S-�' Sufficient notification rece ve es No Special Conditions APPROVED j Inspector Date c SANITARY LATERAL & EXCAVATION PERMIT INSPECTION REQUEST DATE OF REQUEST: // TIME: BY: �Q. �. s( FOR LOCATION: 599 7022* DAY INSPEC . NEEDED 4L, 3 0- / 4 TIME: d C> 4 , TYPE OF INSPECTION: ( SANITARY/LATERAL (PERMIT NO. Z _) ( ) FOOTING DRAIN ( ) EXCAVATION (PERMIT NO. ) ( ) OTHER INSPECTION REPORT DATE: f - � 4= TIME: o O INSP: CONTRACTOR: /� ti,� a /„rLr o WEATHER: S- 04 WORK IN PROGRESS: z- s- AREA OF CONCERN: SPECIAL INSTRUCTIONS: i f wAv _D sL�l1Th' �vs� 1 11WRO1F7XA17- To help locate your sewer connection on-the main line, please show where you would like the connection by drawing a line From the hoes the septic tank to the main line in the street. Also, install thesta house ear, + to T cate-lina as .show6i on-sketch:- _IF�you have=any doubt please contact the Town Ehginet6rfngDepartment. Please d and other obstructions-.raw important in Formation such as driveways, large trees PLEASE MAIL THIS .FORM I� MMEDIATELY TO: z JAMES S. MINGES & ASSOC_, ._INC. The Exchange.- Farmington Avenue- : Farmington, Connecticut 06Q32 -77 F. --T- YOUr? E ' f ��